가상현실 운동프로그램(Wii)이 알츠하이머 치매 노인의 인지기능에 미치는 영향
Effects of a Virtual Reality Exercise Program(Wii) on Cognitive Function of Elderly People with Alzheimer Dementia
1
조회
0
다운로드
25
인용
0
참고문헌
키워드
초록
[PURPOSE] The purposes of this study were to evaluate the effectiveness of a 12-week virtual reality exercise program designed around the Nintendo Wii(Wii), in improving Alzheimer’s dementia patients’ memories. [METHODS] 30 Alzheimer dementia patients were randomly assigned in to the experimental group(n=15) and control group(n=15). All subjects performed a routine cognitive therapy and, besides, experimental group performed three 40-minute Wii-exercise intervention sessions per week, for 12 weeks. Before and after the Wii intervention, subjects’ cognitive functions were evaluated using the Cognitive Assessment Reference Diagnosis System (CARDS) and Mini-Mental State Examination-Korea (MMSE-K) test. Statistical significance was tested within and between each group before and after treatment by Wilcoxon signed rank test and Mann-Whitney U test. [RESULTS] Among the CARDS scores of the subjects who received Wii-exercise, the scores of the delayed 10-word list, delayed 10-object list, recognition 10-object, and recent memory significantly increased after intervention compared to those before intervention(p<.01). In addition, among the MMSE-K items, the orientation, registration, and recall showed significant increases in the experimental group(p<.05). The control group saw no statistically significant change. There was a statistically significant CARDS and MMSE-K score differences after intervention between the groups(p<.05). 76.9% of experimental group responded positively when asked if they would like to continue using the Wii-game in the future. [CONCLUSIONS] These suggest that a virtual reality exercise program using the Wii-game, is effective in delaying memory deterioration and improving cognitive function of elderly people with Alzheimer dementia
Abstract
[PURPOSE] The purposes of this study were to evaluate the effectiveness of a 12-week virtual reality exercise program designed around the Nintendo Wii(Wii), in improving Alzheimer’s dementia patients’ memories. [METHODS] 30 Alzheimer dementia patients were randomly assigned in to the experimental group(n=15) and control group(n=15). All subjects performed a routine cognitive therapy and, besides, experimental group performed three 40-minute Wii-exercise intervention sessions per week, for 12 weeks. Before and after the Wii intervention, subjects’ cognitive functions were evaluated using the Cognitive Assessment Reference Diagnosis System (CARDS) and Mini-Mental State Examination-Korea (MMSE-K) test. Statistical significance was tested within and between each group before and after treatment by Wilcoxon signed rank test and Mann-Whitney U test. [RESULTS] Among the CARDS scores of the subjects who received Wii-exercise, the scores of the delayed 10-word list, delayed 10-object list, recognition 10-object, and recent memory significantly increased after intervention compared to those before intervention(p<.01). In addition, among the MMSE-K items, the orientation, registration, and recall showed significant increases in the experimental group(p<.05). The control group saw no statistically significant change. There was a statistically significant CARDS and MMSE-K score differences after intervention between the groups(p<.05). 76.9% of experimental group responded positively when asked if they would like to continue using the Wii-game in the future. [CONCLUSIONS] These suggest that a virtual reality exercise program using the Wii-game, is effective in delaying memory deterioration and improving cognitive function of elderly people with Alzheimer dementia
참고문헌 (31)
- Akhondzadeh S, "Hippocampal synaptic plasticity and cognition", Journal of Clinical Pharmacy & Therapeutics, 24, pp.241~248 (1999)
- American College of Sports Medicine, "ACSM's Guidelines for Exercise Testing and Prescription", pp.174~177 (2014), Lippincott Williams and Wilkins
- Barnes D. E, "Computer based cognitive therapy for mild cognitive impairment: results of a pilot randomized, controlled trial", Alzheimer's Disease and Associated Disorders, 23(3), pp.205~210 (2009)
- Clark, R. A, "Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance", Gait & posture, 31, pp.307~310 (2010)
- Deutsch, J. E, "Use of a low cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy", Physical Therapy, 88(10), pp.1196~1207 (2008)
- Folstein, M. F, "Mini-mental state: A practical method for grading the cognitive state of patients for the clinician", Journal of Psychiatric Research, 12, pp.189~198 (1975)
- Hertz, N. B, "Nintendo Wii rehabilitation (“Wii-hab”) provides benefits in Parkinson’s disease", Parkinsonism and Related Disorders, 19, pp.1039~1042 (2013)
- Hofmann, M, "Interactive computer-training as a therapeutic tool in Alzheimer's disease", Comprehensive Psychiatry, 44, pp.213~219 (2003)
- 홍지영, "고령친화적 원격 운동프로그램이 여성 노인의 근감소형비만 개선에 미치는 영향", 아시아 운동학 학술지, 18(3), pp.65~72 (2016), 대한운동학회[DOI]
- Hughes, T. F, "Independent and combined effects of cognitive and physical activity on incident MCI", Alzheimer’s &Dementia, 11, pp.1377~1384 (2015)
- 김주홍, "가상현실 게임을 이용한 훈련이 뇌졸중환자의 기능회복에 미치는 영향", 대한작업치료학회지, 19(3), pp.101~114 (2011), 대한작업치료학회
- Lange, B, "Development of an interactive game-based rehabilitation tool for dynamic balance training", Topics in Stroke Rehabilitation, 17(5), pp.345~352 (2010)
- Lautenschlager, N. T, "Physical activity and cognition in old age", Current Opinions in Psychiatry, 19(2), pp.190~193 (2006)
- 이근호, "가상현실 운동프로그램이 파킨슨병 환자의 자세불안정과 삶의 질에 미치는 효과", 아시아 운동학 학술지, 17(1), pp.49~61 (2015), 대한운동학회[DOI]
- McKhann, G. D. D, "Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA work group under the auspices of department of health and human services task force on Alzheimer’s disease", Neurology, 34, pp.939~944 (1984)
- Maclean, N, "Qualitative analysis of stroke patients'motivation for rehabilitation", British Medical Journal, 28, pp.1051~1054 (2000)
- Morris, J. C, "Clinical dementia rating: a reliable and valid diagnostic and staging measure for dementia of the Alzheimer type", International psychogeriatrics, 9, pp.173~176 (1997)
- Park, J. H, "Standardization of Korean Version of the Mini-Mental State Examination(MMSE-K) for Use in the Elderly", Journal of the Korean Neuropsychiatric Association, 28(1), pp.125~135 (1989)
- Park, J. H, "Standardization of Korean Version of the Mini-Mental State Examination(MMSE-K) for Use in the Elderly. Part Ⅱ. Diagnostic Validity", Journal of the Korean Neuropsychiatric Association, 28(3), pp.508~513 (1989)
- Ritchie, C. W, "Metaanalysis of randomized trials of the efficacy and safety of donepezil, galantamine, and rivastigmine for the treatment of Alzheimer’s disease", American Journal of Geriatric Psychiatry, 12, pp.358~368 (2004)
- Rose, F. D, "Training in virtual environments: transfer to real world tasks and equivalence to real task training", Ergonomics, 43(5), pp.494~511 (2000)
- Schecker M, "Cognitive interventions in mild Alzheimer’s disease: a therapy evaluation study on the intervention of medication and cognitive treatment", Dementia and Geriatric Cognitive Disorders Extra, 24, pp.301~311 (2013)
- Scherder, E. J, "Physical activity and executive functions in the elderly with mild cognitive impairment", Aging & Mental Health, 9(3), pp.272~280 (2005)
- Simons, J. S, "Perceptual and semantic contributions to episodic memory: evidence from semantic dementia and Alzheimer’s disease", Journal of Memory and Language, 47, pp.197~213 (2002)
- Steuer J, "Defining virtual reality: dimensions determining telepresence", Journal of Communication, 42(4), pp.73~93 (1992)
- Stevenson, I. H, "Bayesian integration and non-linear feedback control in a full-body motor task", PLoS Computational Biology, 5, pp.e1000629~ (2009)
- Suh, G. H, "Diagnostic Capability of the Cognitive Assessment and Reference Diagnoses System(CARDS)", Journal of Korean Geriatric Psychiatry, 6, pp.128~135 (2002)
- Sveistrup, H, "Motor rehabilitation using virtual reality", Journal of Neuroengineering and Rehabilitation, 1(1), pp.10~ (2004)
- Weiss P. L, "Video capture virtual reality as a flexible and effective rehabilitation tool", Journal of Neuroengineering and Rehabilitation, 1(1), pp.12~ (2004)
- Yaguez, L, "The effects on cognitive functions of a movement-based intervention in patients with Alzheimer’s type dementia: a pilot study", International Journal of Geriatric Psychiatry, 26(2), pp.173~181 (2011)
- 윤준웅, "Effect of 8 Weeks Nintendo Wii Fit", Sports Exercise on Body Composition and Object Control Function in Male High School Student with Intellectual Disability, 2011, pp.(46), 1099~1108[DOI]
